Här är anledningarna till varför ESRB har klassat spelet som M (mature) enligt
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Players also have the ability to shoot non-adversary civilians, though this may negatively affect players' progress as a penalty system triggers a broad police search.
Blood-splatter effects occur frequently, and the game contains rare depictions of dismemberment.
In one sequence, players are directed to use various instruments and means to extract information from a character.
The game includes depictions of sexual material/activity: implied fellatio and masturbation; various sex acts that the player's character procures from a prostitute while no nudity is depicted in these sequences, various sexual moaning sounds can be heard. Nudity is present, however, primarily in two settings: a topless lap dance in a strip club and a location that includes male cult members with exposed genitalia in a non-sexual context.
TV programs and radio ads contain instances of mature humor: myriad sex jokes; depictions of raw sewage and feces on a worker's body; a brief instance of necrophilia
Some sequences within the larger game allow players to use narcotics (e.g., smoking from a bong, lighting a marijuana joint); cocaine use is also depicted. Players' character can, at various times, consume alcohol and drive while under the influence.
The words f**k, c**t and n***er can be heard in the dialogue (we'll let your imagination decide what the words are.)